Menachemi Nir, Saunders Charles, Chukmaitov Askar, Matthews Michael C, Brooks Robert G
Florida State University College of Medicine, Tallahassee, Florida, USA.
J Healthc Manag. 2007 Nov-Dec;52(6):398-409; discussion 410.
Most of the studies linking the use of information technology (IT) to improved patient safety have been conducted in academic medical centers or have focused on a single institution or IT application. Our study explored the relationship between overall IT adoption and patient safety performance across hospitals in Florida. Primary data on hospital IT adoption were combined with secondary hospital discharge data. Regression analyses were used to examine the relationship between measures of IT adoption and the Patient Safety Indicators (PSIs) of the Agency for Healthcare Research and Quality. We found that eight PSIs were related to at least one measure of IT adoption. Compared with administrative IT adoption, clinical IT adoption was related to more patient safety outcome measures. Hospitals with the most sophisticated and mature IT infrastructures performed significantly better on the largest number of PSIs. Adoption of IT is associated with desirable performance on many important measures of hospital patient safety. Hospital leaders and other decision makers who are examining IT systems should consider the impact of IT on patient safety.
大多数将信息技术（IT）的使用与改善患者安全联系起来的研究都是在学术医疗中心进行的，或者聚焦于单一机构或IT应用程序。我们的研究探讨了佛罗里达州各医院整体IT采用情况与患者安全绩效之间的关系。关于医院IT采用情况的原始数据与医院出院二级数据相结合。回归分析用于检验IT采用措施与医疗保健研究与质量局的患者安全指标（PSI）之间的关系。我们发现八个PSI与至少一项IT采用措施相关。与行政IT采用相比，临床IT采用与更多患者安全结果指标相关。拥有最复杂、最成熟IT基础设施的医院在最多的PSI上表现明显更好。IT的采用与医院患者安全的许多重要指标上的理想绩效相关。正在审查IT系统的医院领导和其他决策者应考虑IT对患者安全的影响。
